Wangdi Lhacha, Wai Wye Niki Ho, Lingam Kamala D, Shyan Wong J, Hamid Abbas, Barr Andrea L, Yaakub Maizan, Azhani Nur F, Samsudin Norhayaty, Shunmugam Manoharan, Iqbal Tajunisah, Bastion Mae-Lynn Catherine
Ophthalmology, Gyalyum Kelzang Choeden Wangchuck National Eye Centre, Thimphu, BTN.
Ophthalmology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus. 2024 Nov 29;16(11):e74793. doi: 10.7759/cureus.74793. eCollection 2024 Nov.
Fireworks are known to cause severe ocular injuries. This study was intended to examine the pattern and visual outcomes of firework-related severe eye injuries in Malaysia. Methods: A retrospective review of fireworks-related eye injuries was conducted in Malaysia from 1 July 2022 to 30 June 2023. The data were collected from the ophthalmologists who treated and managed those cases. An open invitation was sent to the members of an ophthalmological society requesting case reports of severe ocular injuries requiring admission for further management.
A total of 24 eyes were severely injured due to fireworks. Injuries were mostly among males, accounting for up to 66.67% (n=16), and children under 12 years old (33.33% (n=8)). Among the patients who were admitted due to severe fireworks ocular injuries, 58.33% (n=14) of them had open globe injuries followed by closed globe injuries (41.67% (n=10)), and eyelid injuries (41.67% (n=10)). Following firework eye injuries, at least 41.67% (n=10) of the eyes were blinded.
This study revealed severe eye injuries due to fireworks, ending in blindness in over one-third of the cases, and children were particularly vulnerable. Sight loss due to fireworks can be prevented through strong government policy, public awareness, and timely management.
烟花致伤已知会导致严重眼外伤。本研究旨在调查马来西亚烟花相关严重眼外伤的类型及视力预后情况。
对2022年7月1日至2023年6月30日期间马来西亚烟花相关眼外伤情况进行回顾性分析。数据收集自诊治和处理这些病例的眼科医生。向一个眼科学会的成员发出公开邀请，征集需要住院进一步治疗的严重眼外伤病例报告。
共有24只眼睛因烟花受到严重损伤。受伤者大多为男性，占比高达66.67%（n = 16），以及12岁以下儿童（33.33%，n = 8）。在因烟花严重眼外伤入院的患者中，58.33%（n = 14）为开放性眼球损伤，其次是闭合性眼球损伤（41.67%，n = 10）和眼睑损伤（41.67%，n = 10）。烟花眼外伤后，至少41.67%（n = 10）的眼睛失明。
本研究揭示了烟花造成的严重眼外伤，超过三分之一的病例以失明告终，儿童尤其易受影响。通过强有力的政府政策、公众意识及及时处理，可预防烟花导致的视力丧失。
